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Journal of Ophthalmology
Volume 2009, Article ID 476726, 5 pages
Clinical Study

Glaucoma Patients' Trust in the Physician

Department of Ophthalmology, Duke University Eye Center, Durham, NC 27710, USA

Received 26 March 2009; Revised 10 June 2009; Accepted 22 July 2009

Academic Editor: George L. Spaeth

Copyright © 2009 Kelly W. Muir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To describe glaucoma patients' trust in the physician and to test the hypothesis that increased interpersonal trust is associated with increased medication adherence. Methods. One hundred ninety-five subjects with open-angle glaucoma seen by multiple glaucoma subspecialists participated in a cross-sectional patient survey and concomitant chart review which included a test of health literacy and the Trust in Physician Scale (TPS), a scale from 1–100, with 100 indicating greatest trust. Charts were reviewed for visual acuity and visual field results. Subjects' pharmacies were contacted to ascertain medication refill rates over the preceding six months. Results. TPS scores ranged from 57.5 to 100, ( ,) median 75.0. When age, race, gender, baseline visual acuity and visual field status, education level, and literacy status were considered, only race was associated with TPS. Caucasians expressed slightly higher levels of trust ( ; TPS ) than non-Caucasians, ( (82 Africans Americans); TPS ; ). TPS score was not associated with refill rates ( ). Conclusions. Trust in physician is generally high in this group of glaucoma patients but varies slightly by race. Trust in physician was not associated with glaucoma medication adherence in this tertiary care population.